Individual
TAMMY GALENSKY PENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., B.C.B.A., LBA
Contact information
Practice address
369 SIDNEY PL, WEBSTER GROVES, MO 63119-4219
(314) 918-0655
Mailing address
369 SIDNEY PL, WEBSTER GROVES, MO 63119-4219
(314) 918-0655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011007861
MO
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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